Doctor Name: | JEANNIE THERESE MUND |
NPI Number: | 1356519797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPA CLC RD CDN |
License Number: | 002995 |
Business Practice Address: | 19 Schoharie St Staten Island, NY - 103014325 |
Business Phone Number: | 3474234192 |
Business Fax Number: | |
Mailing Address: | Po Box 50273, STATEN ISLAND |
State: | NY |
Postal Code: | 103050273 |
Phone Number: | 3474234192 |
Fax Number: | |
NPI Enumeration Date: | 02/20/2008 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 002995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |